Form Dor 82179bb - Taxpayer Notice Of Claim - Real Property Multiple Parcel Form

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TAXPAYER NOTICE OF CLAIM - REAL PROPERTY

FOR OFFICIAL USE ONLY

MULTIPLE PARCEL FORM

Pursuant to A.R.S. § 42-16254

NUMBER ____________________________

• Parcels included in this claim must be part of the same economic unit with common characteristics, use and location. All parcels must have the

same basis for the claim, although estimates of values may vary.

• For each parcel listed, state the current legal classiﬁ cation, assessment ratio, land full cash value, improvement full cash value, total full cash value

(sum of land and improvement FCV) and limited property value in the “FROM” section. State any changes you are requesting in the “TO” section.

Keep a copy for your records.

TOTAL NUMBER OF PARCELS INCLUDED IN THIS CLAIM: ______

LEAD PARCEL: BOOK / MAP / PARCEL __________ - ________ - _________

BOOK / MAP / PARCEL __________ - ________ - _________

FROM

TAX

YEAR

LEGAL

ASSMT

LAND

IMPS